When the hip bone has been damaged or misaligned to the point that it will not heal properly on its own, a surgeon must repair the bones manually. Open reduction with internal fixation (ORIF) of the hip is a procedure performed to repair a complex or severe hip fracture. Direct exposure of the fracture facilitates accurate reduction but does violate the soft tissue envelope. Under these circumstances, a formal open reduction can be performed. Some tibial shaft fractures cannot be accurately reduced using closed or percutaneous techniques during an intramedullary nailing procedure. Is intramedullary nail open or closed reduction? Intramedullary nailing is an internal fixation technique mainly used for the surgical management of long bone diaphyseal fractures and since more recently, also in metaphyseal and periarticular fractures. Is intramedullary nailing internal fixation? Is intramedullary nailing a type of Orif?ĭefinitive operative intervention for acute traumatic humeral shaft fractures generally consists of either open reduction with internal fixation (ORIF) or antegrade intramedullary nailing (IMN). The method can be used for segmental fractures of the humerus, femur, and tibia, with high union rates. Open method of locked intramedullary nailing achieves satisfactory results when used for the management of long bone fractures. Is intramedullary nailing an open procedure?
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